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Individual

VIRGINIA SYDNESS HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSB

Contact information

Practice address
40 GROVE ST, SUITE 150, WELLESLEY, MA 02482-7702
(781) 235-9350
(781) 235-9365
Mailing address
40 GROVE ST, SUITE 150, WELLESLEY, MA 02482-7702
(781) 235-9350
(781) 235-9365

Taxonomy

Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary

Other

Enumeration date
05/18/2012
Last updated
05/18/2012
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